An anesthetic reflector has a housing internally containing two externally accessible gas channels and a filter of a material for releasable sorption of gas-borne anesthetic agent. The filter is movable between the gas channels to expose the same portion of the filter to the interior of each channel in turn.
Latest Maquet Critical Care AB Patents:
1. Field of the Invention
The present invention relates to an anesthetic reflector of the type allowing re-use of exhaled anesthetic agents in inhalation anesthesia.
2. Description of the Prior Art
Anesthetic reflectors for the re-use of gas-borne anesthetic agents are well known and are described in, for example, U.S. Pat. Nos. 5,044,361 and 5,471,979. These reflectors generally have a housing in which there is provided openings that delimit a common gas flow channel through the interior of the housing. Retained within the housing and disposed internally the gas flow channel is a filter for the alternating sorption and desorption of anesthetic agent from and into gas passing along the common flow channel. In use, these anesthetic reflectors are located within pneumatic circuits of anesthetic ventilator systems so that anesthetic-rich expiration gas, which is exhaled by a patient into the pneumatic circuit during an expiration phase of a patient breathing cycle, passes along the common flow channel and through the filter in one flow direction and so that inspiration gas in the pneumatic circuit, which is to be supplied to the patient during a subsequent inspiration phase of the patient breathing cycle, passes along the common flow channel, usually but not necessarily in the opposite flow direction, and through the filter. The filter acts to retain anesthetic agent borne by the expiration gas and then to release this retained anesthetic agent into the inspiration gas for re-supply (reflection) to the patient.
One problem with these known reflectors is that the common flow channel constitutes a “dead-space” in which carbon dioxide (CO2), that is also exhaled by the patient, remains after an expiration phase, and therefore may be undesirably re-supplied to the patient with the inspiration gas.
In order to overcome this problem it is known to provide an additional filter for retaining CO2 in inspiration gas passing from the anesthetic gas reflector. Such a CO2 filter may be integral with the reflector or may be a separate unit.
A further problem with the known reflectors is that in order to be able to quickly reduce the anesthetic concentration in the inspiration gas that otherwise would pass through the reflector, an additional gas flow line and associated flow controller are required by which the anesthetic sorption filter may be selectively by-passed. It is further known to realize this by-pass line as a separate flow channel within the housing of the reflector.SUMMARY OF THE INVENTION
It is an object of the present invention to provide an anesthetic reflector, and an inhalation anesthesia system employing such an anesthetic reflector, wherein the above-discussed problems associated with known anesthesia reflectors are at least alleviated.
This object is achieved in accordance with the principles of the present invention in an anesthetic reflector having a housing with two externally accessible gas channels formed therein, and containing a filter for releasable sorption of gas-borne anesthetic agent, wherein the filter is movable between the gas channels to expose the same portion of the filter to the interior of each channel, in alternation.
The above object also is achieved in an inhalation anesthesia system employing such an anesthetic reflector.
By arranging for the filter to be movable, either by rotation or translation, between the two gas flow channels in turn, then at least the problem of the re-supply of the dead-space CO2 may be alleviated.
Moreover, the inventive anesthetic reflector has the further advantage that by selectively halting the movement of the filter during the provision of inhalation anesthesia, the concentration of anesthetic in the inspiration gas for delivery to a patient may be relatively quickly reduced without the need for a separate by-pass conduit.
The anesthetic reflector illustrated in
The present embodiment of the anesthetic reflector may be connected to a gas conditioning unit 22 (shown with broken lines) that is provided in the inspiration line preferably immediately upstream of the gas port 10, by which inspiration gas will enter the first gas channel 4. The unit 22 is configured to at least warm the incoming inspiration gas. In this manner the desorption of sorbed anesthetic gas will be enhanced. Indeed thermal energy may be supplied to enhance desorption in a number of ways apparent to those skilled in the art. The unit 22 also may be adapted to humidify the incoming inspiration gas.
A disc-shaped filter 24 has a suitable anesthetic sorption material, for example activated carbon cloth or granules, and is preferably removably retained within the housing 2 and arranged to pass through an opening 26 (shown exaggerated for clarity) in the common wall portion 8, which may be formed of two separate sections 8a, 8b. In the present embodiment a section 24a of the sorbing material of the filter 24 extends into and essentially divides the first gas channel 4 and a section 24b extends into and essentially divides the second gas channel 6. The filter 24 is provided with a through-hole 28 for removable engagement with a rotatable shaft 30 by which the filter 24 can be rotated. In the present embodiment a motor 32 is connectable to the shaft 30 and is operable to rotate it.
A projection 34 also may be provided around the inner surface of each gas channel 4,6 against which a peripheral portion of a surface 36 of the filter 24 can seal. In this manner the amount of gas in each of the gas channels 4,6 that passes through the filter 24 may be increased and so the reflection properties of the reflector enhanced.
A suitable configuration of the filter 24 is illustrated in
A further embodiment of the anesthetic reflector according to the present invention is illustrated in
An opening 60 is provided in the housing 46 into which a filter holder 62 is removably received. A slot 64 is formed in each of the channels 48,50 (only one shown) in an opposing arrangement and located beneath the opening 60. A corresponding slot 66 is provided through the body of the filter holder 62 which cooperates with the slots 64 in each of the channels 48,50 to form a conduit through which an anesthetic sorption filter 68 can slide in a reciprocating movement between internal each of the channels 48,50 in turn. A rod 70 is also provided to releasably attach to the filter 68 when the filter 68 is located within the housing 46 and is sized to be externally accessible when the filter 68 is in either channel 48,50. In the present example, the rod 70 is devised for a push fit connection to the filter 68. For this purpose, a releasable detent 72 is integrated in the filter holder 62 and may be actuated to move in to and out of contact with a peripheral portion of the filter 68 when located within the slot 66 to hold the filter 68 within the filter holder 62 as the rod 70 is attached or detached.
An inhalation anesthesia system is shown in
It will be apparent to those skilled in the art that when a reflector according to the present invention, such as is for example described above in respect to
The motor 32 is coupled to rotate the disc shaped filter 24 of
For example, assuming that the gas-holding volume of the disc shaped filter 24 is 80 ml then 40 ml will lie in the expiration side 6 and contains therefore about 5 vol % CO2 (that is about 2 ml CO2). If an acceptable level of re-breathing is 0.4 ml, which would be the case for even for small tidal volumes (a tidal volume of 200 ml would then have 0.2 vol % of CO2), then a suitable rotational speed would be one tenth of a revolution per breath since this would mean that one fifth of the amount of expired CO2 will appear in the inspiration side 4.
It will be appreciated by those skilled in the art that the control unit 88 may control the motor 32 to provide an intermittent rotation of the disc 24 or provide an oscillation of the disc 24 provided that the portion, for example 24b, of the filter 24 that, during an exhalation phase of a patient breathing cycle, was located within the second channel 6 to retain anesthetic present in the exhalation gas is moved to be located within the first channel 4 to release the retained anesthetic into the inspiration gas flowing through the first channel 4 during an inspiration phase of a patient breathing cycle.
Additionally, the control unit 88 may be configured to halt the rotation of the disc filter 24 for one or more breathing cycles, for example in response to a manually input signal. This permits a relatively rapid reduction in the amount of anesthetic released from the filter 24 into the inspiration gas flowing in the inspiration line 78. Additionally or alternatively a bias flow of anesthetic free gas through the gas channel 6 connected to the expiration line 80 may be provided during an expiration phase to flush anesthetic from the portion 24b of the filter 24 in that channel 6.
Although modifications and changes may be suggested by those skilled in the art, it is the intention of the inventor to embody within the patent warranted hereon all changes and modifications as reasonably and properly come within the scope of his contribution to the art.
1. An anesthetic reflector comprising:
- a housing having two externally accessible, separated gas channels proceeding through the housing;
- a filter disposed in said housing for releasable sorption of gas-borne anesthetic agent; and
- said filter being mounted in said housing so as to be movable between said gas channels to expose the same portion of said filter to an interior of each of said channels, in alternation.
2. An anesthetic reflector as claimed in claim 1 wherein said filter is mounted in said housing for reciprocating movement between said two gas channels.
3. An anesthetic reflector as claimed in claim 1 wherein said filter is mounted in said housing for rotational movement through said two gas channels.
4. An anesthetic reflector as claimed in claim 3 wherein said two gas channels are disposed in said housing substantially parallel to each other and cooperate with said filter to simultaneously expose different portions of said filter to the interior of each channel.
5. An anesthetic reflector as claimed in claim 4 wherein said filter is divided into a plurality of segments separated by dividing members protruding from a surface of said filter, and said housing having a common wall section separating said two gas channels with a wall section surface facing said surface of said filter, said dividing members cooperating with said surface of said wall section to inhibit transport of gas between said two channels.
6. An inhalation anesthesia system comprising:
- an anesthetic ventilator;
- a pneumatic circuit connected to said anesthetic ventilator and adapted for communication with airways of a patient for conducting gas in opposite flow directions between said anesthetic ventilator and the air waves; and
- an anesthetic reflector having a housing connected in said pneumatic circuit, said housing having two separated gas channels proceeding through the housing, respectively for gas flow in said opposite directions, and a filter disposed in said housing for releasable sorption of gas-borne anesthetic agent, the filter being mounted in the housing for movement between said gas channels to expose the same portion of said filter to an interior of each of said channels, in alternation, with gas in said pneumatic circuit flowing in only one direction through the respective channels of the anesthetic reflector.
|5044361||September 3, 1991||Werner et al.|
|5237990||August 24, 1993||Psaros et al.|
|5471979||December 5, 1995||Psaros et al.|
|5505768||April 9, 1996||Altadonna|
|5678537||October 21, 1997||Bathe et al.|
|5694924||December 9, 1997||Cewers|
|6116235||September 12, 2000||Walters et al.|
|6206002||March 27, 2001||Lambert|
|OS 36 33 724||April 1988||DE|
|WO 97/14465||April 1997||WO|
|WO 02/26306||April 2002||WO|
International Classification: A62B 7/10 (20060101);